| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
28,769 |
2,309 |
$2.68M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
34,300 |
2,576 |
$1.88M |
| A0100 |
Non-emergency transportation; taxi |
20,698 |
1,555 |
$516K |
| S5170 |
Home delivered meals, including preparation; per meal |
12,523 |
947 |
$215K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,261 |
162 |
$45K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,744 |
155 |
$43K |